| NPI | 1437243763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: MT 79757) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CO 1947) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-11-27 |